Cheryl Herrmann – 12-Lead EKG & Chest X-Ray Interpretation

Cheryl Herrmann – 12-Lead EKG & Chest X-Ray Interpretation

PART I: THE ABCS OF 12-LEAD EKG INTERPRETATION

12-Lead EKG 101

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Cardiac electrical conduction system
Electrical vectors
Introduction to the 12-leads
Limb leads
Augmented leads
Chest leads
Normal polarity and P-QRS-T configuration of each lead
Ace the Axis

Left and right axis deviation
Causes and criteria of axis deviation
Methods to determine axis deviation
Case presentations, analysis, and clinical application
Beat the Bundles

Right and left bundle branch blocks (BBB)
Criteria for right vs. left BBB
Causes and complications of right and left BBB
Left anterior and left posterior hemiblocks
Case presentations, analysis, and clinical application
Correlate the Coronary Anatomy

Coronary arteries
Right coronary artery (RCA)
Left coronary artery (LCA)
Left anterior descending artery (LAD)
Circumflex artery (CX)
Posterior descending artery (PDA)
Left ventricular walls
Inferior
Anterior
Septal
Lateral
Posterior
Relationship of coronary arteries and ventricular walls to the 12-leads
Inferior—RCA—leads II, III, AVF
Anterior/septal—LAD—leads V1–V4
Lateral—circumflex—leads I, AVL, V5, V6
Posterior—PDA—reciprocal changes V1–V4

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Differential Diagnosis: 12-Lead EKG in Acute Coronary Syndrome

Ischemia pattern
Injury pattern
Infarction pattern
Reciprocal changes
ST segment elevation myocardial infarction (STEMI)
Non-ST segment elevation myocardial infarction (NSTEMI)
Coronary spasm
Takotsubo cardiomyopathy (broken heart syndrome)
Example and Analysis Time – Piecing It All Together

30-second diagnosis of STEMI on 12-lead EKG
Coronary angiographic correlation to 12-lead EKG
Case presentations, analysis, and clinical application
Advanced 12-Lead: Challenging Clinical Presentations

Atrial and ventricular hypertrophy
Wolff-Parkinson-White syndrome
Prolonged QT intervals
PART II: CHEST X-RAY INTERPRETATION – AS EASY AS BLACK AND WHITE

Note: Most chest X-ray examples will be AP films

Chest X-ray basics

Technique
Black and white principles
Projections
Anterior-posterior (AP)
Posterior-anterior (PA)
Lateral
Systematic Approach

Bone structures
Intercostal spaces
Soft tissues
Lungs/trachea/pulmonary vasculature
Pleural surfaces
Diaphragm
Mediastinum
Heart and great vessels
Invasive lines
As Easy as Black

Pneumothorax
Subcutaneous emphysema
Clinical application and treatment
As Easy as White

Pleural effusion
Pulmonary edema
Pneumonia
Atelectasis
Acute respiratory distress syndrome (ARDS)
Cardiomyopathy
Pericardial effusion
Cardiac tamponade
Clinical application and treatment
Beyond the Basics

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Aortic aneurysm
Post-op changes with pneumonectomy
Hydropneumothorax
Esophagogastrectomy
Dextrocardia
Clinical application and treatment
PART III: CXR & 12 LEAD EKG CASE PRESENTATIONS, ANALYSIS, AND CLINICAL APPLICATION

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Description:

When to be concerned — 12-Lead EKG Pearls of Wisdom
In a cardiac event, the clock starts ticking as soon as the coronary artery becomes occluded. Are you ready to rapidly interpret STEMI (ST segment elevation myocardial infarction) changes with a 12-lead EKG and provide effective intervention to reduce the size of the AMI? The 12-lead EKG is one of the most frequently utilized cardiac assessment tools to assess chest pain. Yet, it provides us with so much more information that can help improve patient care. The purpose of this portion of the recording is to assist the health care professional in mastering 12-lead EKG assessment skills in order to identify the common and not-so-common changes. You will also examine subtle and high-risk signs on 12-Lead EKG that are of concern preoperatively, in the ED, or in the clinic.

As Easy as Black and White…
Chest X-rays are also a commonly ordered diagnostic test, yet viewing and interpreting them can be challenging. Chest X-rays can be as simple as black and white. The purpose of this portion of the recording is to provide clinicians with chest X-ray interpretation skills in order to help you easily assess changes in the patient’s condition. You will develop skills in line identification; differentiations among atelectasis, pneumonia, ARDS, pleural effusion, and pulmonary edema; and identification of pneumothorax, cardiac tamponade, and cardiomyopathy. You will view examples of numerous chest X-rays to reinforce the concepts presented. Clinicians will walk away from this session with practical skills for better, quicker patient assessment allowing for more effective intervention.

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Here’s What You’ll Get in 12-Lead EKG & Chest X-Ray Interpretation

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Course Requirement: Cheryl Herrmann – 12-Lead EKG & Chest X-Ray Interpretation
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